Individual provider · Type 1 NPI

Linda A. Nicolette, MD

Pediatric Surgery Physician · Albuquerque, NM

NPI number 1265476550 Active

Practice location

201 Cedar St SE Ste 4660
Albuquerque, NM 87106-4924

Fax (505) 563-6336

Mailing address

PO Box 26666, Phs Provider Enrollment
Albuquerque, NM 87125-6666

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000X204554 (NY)
Pediatric Surgery Physician 2086S0120X204554 (NY)
Pediatric Surgery Physician Primary 2086S0120X91-101 (NM)

Pediatric Surgery Physician: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

11 other providers at this address

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About NPI 1265476550

Linda A. Nicolette, MD's National Provider Identifier is 1265476550, issued on Jun 16, 2006. The primary taxonomy on file is Pediatric Surgery Physician (2086S0120X), and the practice location is in Albuquerque, NM. The record was last updated on Mar 25, 2016.